ny10570

Having the ability to transmit EKGs is useless unless someone is going to read it. It wasn't until STEMI Centers began becoming a destination options for ambulances that hospitals saw the benefit to coordinating with EMS. Thanks to EMS hopitals can tout their amazing door to balloon times because we do all of the ground work.

Why are we blaming the road? Reckless driving caused the accident. After the multiple fatality in which the SUV crossed the divider several years ago the city raised the divider. Shortly after the work was completed a car jumped the barrier. You will never stop these accidents from happening. Were those barriers higher maybe the van wouldn't have gone off the road and instead it would have been sent back into traffic and killed the occupants of another vehicle.

I still remember the Lifepak 5s. Had two halves and you connected the one side with the screen to the other with defib paddles on it via a cable. You could hook the patient up and connect it first to the portable Jonny and Roy type phone we had (I forget the name but I bet someone on here knows) and then you'd hook the "phone" (actually a UHF radio) to the monitor and it would display the ECG (only one lead at the time). Of course doing 12-Lead ECGs back then was UGLY.
Props to Terri and everyone else on a job well done. The technology to transmit the ECG didn't save this guy's life. He saved his own by not denying his symptoms. Medic Hart saved him by recognizing the MI on the 12-Lead and administering the proper treatment. The ambulance crew got him there safely. The hospital staff did their thing. And the doctor did theirs. All the transmission of the ECG does is tell the staff "HEY! WAKE UP! This is the real deal and the paramedic on the phone saying they have a STEMI isn't calling to order a pizza."

A local story that's hitting close to home for me: File under "The System Worked!"
On Monday, April 30, Ron Immel, EMT/Supervisor for Good Fellowship Ambulance Club, responded to a medical call, along with Chester County Hospital Medic 91.
While packaging the patient, Ron went to secure Medic 91's car when someone heard him collapse. Immediately, personnel found him unconscious behind 55's ambulance. He was found to be in V-Fib arrest,...CPR was initiated and he was defibrillated at the scene back into a sinus rhythm, ultimately regaining full consciousness upon arrival at CCH!
As of today, after a battery of tests, the cause was unknown and he is scheduled to be discharged tomorrow.
I can't attest to Ron's overall state of health, but as emergency providers, we work long hours, endure rapid escalations of stress, and probably don't eat the healthiest of meals when on-duty.
Personally, this time last year, I was 270 lbs, had tremendous back pain (in part due to advancing arthritis) and lost so much sleep I was nodding off at work. I'm now down to 225 and I have a few more to go (so says my doc ), but its not all about me - we all need to look after ourselves. We all won't have Ron's good fortune to be surrounded by a lot of competent care providers.
Stay safe, brothers (and sisters)!

http://newyork.cbslocal.com/2012/02/03/nyc-fire-union-looks-to-speaker-quinn-to-block-fdny-closures/
A few days ago the mayor released his fiscal plan for the next few years. In it he included $50 million budget cut for FDNY. The only way they're cutting $50 million is to close houses. For anyone watching the past few years this should sound familiar. He will soon begin ramping up the media support for firehouse closures. In 2 to 3 months a revised budget will come in with an unexpected surplus from increased revenues in yadda yadda yadda. He will still push for the cuts because they are necessary to maintain a balanced budget in the near future. Come June he will submit his budget including the company closures to the city council. A few weeks of political wrangling later, the city council will approve a budget with funding restored for the firehouses. Bloomy gets to come away looking tough on those fat cat firefighters and public servants while the damn liberals in the city council continues to undo his hard work.
I am sick of this BS. I'm tired of giving up sunny afternoons for another rally at city hall. I'm tired of sitting in on long boring city council meetings. I'm tired of e-mailing and calling legislators. Sadly for another year we must continue this fight. This is a war and we have to fight every battle. If you're a teacher, cop, EMT/medic, sanitation worker, transit employee, secretary, or any other city employee this story should sound painfully familiar. He is forecasting another substantial reduction in employees on the city payroll, so look for cuts everywhere. He is also forecasting Billion dollar deficits in the coming years and claims to have exhausted the city's rainy day fund. There will be more pain and it will be wide spread. Please get involved with your union. Its going to be an election year, step up and support your local's political action agenda.
Thank you for indulging my rant.

Everyone is so quick to blame teachers, but in EVERY STATE. Whether they be right to work or union states, they have the same problems. Charter schools are successful by limiting class size and/or selecting students. NYC's select admission high schools do phenomenally on a national level. These rubber room teachers and pension abuses pale in comparison to the losses as a result of CityTime, PSAC I and II, NYCWIN, and trasit communications. Then there are social initiatives like bicycle lanes, his million trees goal, and street scapes that while nice can wait until better financial environments.
These failures go back to Guliani. When before 9/11 and wall street was booming the pensions had big surpluses. These practices continued through the current administration. The employees don't have the option of withholding our contributions. The city did and now they're crying that they have to make up for their short sighted financial planning.

http://newyork.cbslocal.com/2012/02/03/nyc-fire-union-looks-to-speaker-quinn-to-block-fdny-closures/
A few days ago the mayor released his fiscal plan for the next few years. In it he included $50 million budget cut for FDNY. The only way they're cutting $50 million is to close houses. For anyone watching the past few years this should sound familiar. He will soon begin ramping up the media support for firehouse closures. In 2 to 3 months a revised budget will come in with an unexpected surplus from increased revenues in yadda yadda yadda. He will still push for the cuts because they are necessary to maintain a balanced budget in the near future. Come June he will submit his budget including the company closures to the city council. A few weeks of political wrangling later, the city council will approve a budget with funding restored for the firehouses. Bloomy gets to come away looking tough on those fat cat firefighters and public servants while the damn liberals in the city council continues to undo his hard work.
I am sick of this BS. I'm tired of giving up sunny afternoons for another rally at city hall. I'm tired of sitting in on long boring city council meetings. I'm tired of e-mailing and calling legislators. Sadly for another year we must continue this fight. This is a war and we have to fight every battle. If you're a teacher, cop, EMT/medic, sanitation worker, transit employee, secretary, or any other city employee this story should sound painfully familiar. He is forecasting another substantial reduction in employees on the city payroll, so look for cuts everywhere. He is also forecasting Billion dollar deficits in the coming years and claims to have exhausted the city's rainy day fund. There will be more pain and it will be wide spread. Please get involved with your union. Its going to be an election year, step up and support your local's political action agenda.
Thank you for indulging my rant.

Why are we blaming the road? Reckless driving caused the accident. After the multiple fatality in which the SUV crossed the divider several years ago the city raised the divider. Shortly after the work was completed a car jumped the barrier. You will never stop these accidents from happening. Were those barriers higher maybe the van wouldn't have gone off the road and instead it would have been sent back into traffic and killed the occupants of another vehicle.

Why are we blaming the road? Reckless driving caused the accident. After the multiple fatality in which the SUV crossed the divider several years ago the city raised the divider. Shortly after the work was completed a car jumped the barrier. You will never stop these accidents from happening. Were those barriers higher maybe the van wouldn't have gone off the road and instead it would have been sent back into traffic and killed the occupants of another vehicle.

While no cop in their right mind will chase a kitted out sport bike if the operator wants to run, they still haven't put one together that can outrun motorola. As a long time motorcyclist, good job officers safely keeping this idiot off the road if only for a little while.

LoHud was always free... and frequently worth what they charged.
Mike

While no cop in their right mind will chase a kitted out sport bike if the operator wants to run, they still haven't put one together that can outrun motorola. As a long time motorcyclist, good job officers safely keeping this idiot off the road if only for a little while.

70 means you meet minimum qualifications. You have to look at the noe to see what gives you the extra points such as work experience.
Also if they are still doing things like when I was there. Some of the people in front of you could be hired already. But that is the order they call people.
Also there could be people who have moved on to other jobs such as PD or something so it's hard to determine when you will be called

Having the ability to transmit EKGs is useless unless someone is going to read it. It wasn't until STEMI Centers began becoming a destination options for ambulances that hospitals saw the benefit to coordinating with EMS. Thanks to EMS hopitals can tout their amazing door to balloon times because we do all of the ground work.

There are many ways that lightweight construction endangers human lives as opposed to "legacy" construction.
Trusses: by now we should all be very familiar with the dangers of lightweight wood trusses. These along with sheathing act as a system to form roofs and/or floors. The trusses themselves by nature allow for fire travel and spread, are thinner and smaller dimensionally thus allowing for faster burn through/failure, and generally fail as a system. The truss holds up the sheathing, the sheathing holds the trusses together and in place, it's like a house of cards.

Light weight carrying timbers: large dimensional wood is expensive, so we have engineer lumber using small chips and particles pressed and glued together to make large carrying timbers. Under normal loading conditions these allow for greater spans between walls and hold up very well. Under fire conditions their surface to mass ratio along with the glue allows them to fall apart and burn far more rapidly than dimensional lumber. Also since they can allow for larger spans, we're seeing larger rooms and less compartmentalization in far greater numbers, as what was once a sign of the rich is now affordable to far more homeowners.
Cheap sheathing: OSB, chip board, particle board, you name it, it's cheaper to stick little pieces together with glue than use true boarding boards or even plywood. Money saved on sheathing which the homeowner never sees can be used to reduce costs or allow for upgrades. This stuff fails under heat faster than legacy materials again due to surface to mass and glue failure.
Vinyl siding and worse yet, soffits. A very quick way for fire to get from floor to attic today is vinyl soffit covering. With modern construction knowledge demanding ventilation from soffit to ridge, the open air space in the soffit used to be plywood or boards with screening between to allow air travel, Now, to make that worse, we use vinyl covering as it's preformed, fast, doesn't need to be painted and cheap. This allows fire from failed windows or outside fire to rapidly extend into the attic space with some fuel at the entry point to speed the process!
Energy efficiency. Tighter houses heat cheaper, which also means they heat faster and hold heat better leading to faster flashover if there's enough air to support the combustion, if not, it can lead to greater backdraft potential.
And of course, while not part of the construction specifically, the fuel load of today is far more than ever before. Nearly everything we buy today is made of petroleum based plastics and far less natural materials, allow for far faster heat release rates and greater BTU's per pound.

In all our stuff burns much hotter, much faster and in far less safe homes, than ever before. The only viable answer in sprinklers.
I don't beleive the insurance lobby is against sprinklers, they protect them from much greater payouts and in our state they've found that 99% offer a reduction in fire insurance premiums(5-15%), though in the grand scheme it's not enough to be a selling point. The fact is, and I'm sure BNECHIS can speak far more eloquently on the subject, that insurance companies, crazy as it sounds are heavily regulated. That is to say they can't just start charging everyone more for not having sprinklers, they can offer reductions in cost, but that's taking money away from them. If they could charge more for those failing to build new with sprinklers, that'd be huge.

Not if his child was born here.
People do dumb stuff. He didn't go out to the bar. He ran an errand. Not excusable but the details matter here. Was it 5 minutes or 30? Was he remorseful or blaming the child?
When I was 6 or 7 my parents tasked me with watching my brother while ducked into a store. 2 minutes later they came out to see a by stander catching by brother in his stroller that I'd let roll down the hill towards a busy NYC intersection.
In all of my injured child calls it was one of the least significant scald burns that was most disturbing. The most serious were precipitated by the actions of dumb adults but never with malice. Usually I spend more time reassuring the parent. Some people just really don't know any better.

I did not want to interrupt the existing Carmel Structure Fire Discussion topic which is becoming more of an online condolence thread, however I'm curious and I understand the incident investigation is ongoing, but were there not any working smoke detectors in this house?
Could this be yet another multi-fatality incident where the loss of life might have been preventable?

The Department may not get the fine money, but they end up saving money because they are not running out the door as much, a back door savings effect.
As for the Alzheimer patient, you would have to deal with that situation and respond. But you use a point of something that may effect 1 out of 50 Departments. Yet the manager not enforcing the rules about cig smokingwith his employees that causes you to respond 6 times a month may effect 10 out of 50 departments and is a problem and can be enforced.

Why would you file charges against someone with no control over their motor functions?! Someone who gets themselves so whacked out of PCP or some other chemical and loses their mind, is a different story. Lock 'em up. Someone that lashes out due to hypoglycemia, a seizure, significant brain injury, etc are the people we are supposed to be helping. Why on earth would you you even pursue this?! Thank god reason prevailed and nothing went any further.

I looked and found this old Mount Prospect police car. Cigarette lighter seems to be broken though.........

The criminal aspect and her healthcare are unrelated as far as privacy rights are concerned. There is no discussion about her mefical condition or details about why EMS was called. All of the information is pertinent to her arrest.
No one is going to pursue charges if there is a simple medical explanation for the violent behavior. That leads me to believe this was not a simple AMS or psychiatric emergency.

Why would you file charges against someone with no control over their motor functions?! Someone who gets themselves so whacked out of PCP or some other chemical and loses their mind, is a different story. Lock 'em up. Someone that lashes out due to hypoglycemia, a seizure, significant brain injury, etc are the people we are supposed to be helping. Why on earth would you you even pursue this?! Thank god reason prevailed and nothing went any further.

The criminal aspect and her healthcare are unrelated as far as privacy rights are concerned. There is no discussion about her mefical condition or details about why EMS was called. All of the information is pertinent to her arrest.
No one is going to pursue charges if there is a simple medical explanation for the violent behavior. That leads me to believe this was not a simple AMS or psychiatric emergency.

The criminal aspect and her healthcare are unrelated as far as privacy rights are concerned. There is no discussion about her mefical condition or details about why EMS was called. All of the information is pertinent to her arrest.
No one is going to pursue charges if there is a simple medical explanation for the violent behavior. That leads me to believe this was not a simple AMS or psychiatric emergency.

The criminal aspect and her healthcare are unrelated as far as privacy rights are concerned. There is no discussion about her mefical condition or details about why EMS was called. All of the information is pertinent to her arrest.
No one is going to pursue charges if there is a simple medical explanation for the violent behavior. That leads me to believe this was not a simple AMS or psychiatric emergency.